worried about first night

Did you check for ketones? Is he well or do you think he's coming down with something, have you checked to see if he's running a temperature? When last did you do a set change, could it be a kinked cannula? Did you check the resevoir and tubing for air bubbles? When he was 20 last night did you do a bolus correction and did it work to bring down his readings i.e. have they been at 20 all night or did they come down but have risen up to that again this morning. These are the questions I ask myself when Jess' readings go higher unexpectedly. So far once we've had an air bubble which after primed out got everything back on track, and this week as she's been unwell we've had higher than wanted readings.

Anna Marie
It's only a blip...I can't give too much advice on pizza (actually having one tonight!!), as this is only the 2nd time I have had pizza-and I am having to go back to my logbooks to see what I did....I know I did it as a multiwave, but can't remember what sort of percentage and how many hours to do it over!!! I know I also increased my basal rate for pizza for 12 hours!!!!! We normally eat about 7pm, and I increased it all the way through to 7am.

The only thing in situations with hypo's and rises in blood is to learn from them. What caused them, how to deal with them, and if there is a pattern to them. You just got to find the best way to manage the pizza, and you will do it.

This weekend will make things easier for next week. Rises can be dealt with quite rapidly, but it is the hypo's you need to get rid of, and I'm sure by this time next week (I know it seems a long way off!!!) Dylan will be more level.

You are managing so well, I think the black bags under the eyes are what we all get when we first go over to the pumps!!!! The most important thing is that you and Dylan are managing it all well, and it is a hugely different regime to come to terms with. You have gained such a huge understanding of the way it all works in such a short period of time, you should both be **** proud of yourselves......Sharon

That is practically the same expression that I use.......I'm a worker, not a shirker!!!! or I am not a quitter!!!

It is something to bear in mind with Sophia's comments about other things that can impact sometimes. Like you, I would have put down the high's to the pizza....however if the high's haven't come down by lunch time today, then I would start to consider other things that Sophia listed.

Lily loves pizza and we always use multiwave bolus. If she has 75g carbs pizza she will need around 5.5 units so we split this to 40/60 so she would get 2.5 up front and 3 over 2 or 3 hours. This seems to work for us but you may need a 30/70 or 50/50, you have to experiment as the pizza has more fat content and takes longer to hit the system. We haven't needed to change basals so far but nothing seems to stay the same.
Dylans numbers seem a bit strange as he was in the 2s yesterday when he got up and the pizza sure wouldn't be affecting it after all that time.
Let me scratch my head and think about it (ouch, ouch, not used to thinking too much )
Let us know how he is at lunch time.
PS Not sure if running TBR is much good at the moment as you don't know if you have them set up correctly yet. Just a thought (OUCH)

Harry

Have a new set ready for lunchtime just incase Anna Marie.

We are using the Accuchek Combo pump and it is pretty straight forward to change the different bolus settings. (Even I can do it now that Lily has shown me ) Not sure how yours works but it should be fairly straight forward, they are mostly similar in how they work, just follow the instruction manual and you will be fine.
Good thinking Sharon.
Harry

Another thing I forgot to say about the air bubble is that a bolus worked fine but it seemed to be blocking the basal. I spoke to our DSN about it and we concluded that perhaps the bolus being a larger dose of insulin was able to push past the bubble but as the basal is such a tiny amount the bubble was causing a problem there.

Hopefully Dylans readings will be back to normal by lunch time. It's really difficult in these early days trying to detect what the problem is. We havn't tried pizza yet but pasta was interesting. I agree with Sharon that it's important to log all these different food types so that we can learn how to deliver insulin the next time.

Hazza said:

(Even I can do it now that Lily has shown me )

Click to expand...

:lol:

Hi

I think you will find that it will take about 2-3 months of adjusting the basals every week before things settle down for Dylan bg wise.

It will help to practice a bit of law and order over the eating and not eat whatever and whenever until you've got a better grip on everything. Pizza is well known for causing problems so you might be better to avoid it for a little while until things settle down.

Not sure really how the Veo works as the Spirit delivers the basal in 0.01s if need be whereas the Veo is 0.05s. So not surprised that things are a bit up and then down.